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When Success Hides Suffering: Understanding High Functioning Depression with Dr. Judith Joseph

20 snips
Aug 12, 2025
Dr. Judith Joseph, a psychiatrist and author of 'High Functioning', delves into the often-misunderstood realm of high-functioning depression. She discusses how outward success can mask inner suffering, particularly focusing on anhedonia, the inability to feel joy. Judith emphasizes the importance of recognizing symptoms early and employing strategies for emotional expression and validation. The conversation also touches on the biopsychosocial model of mental health, the role of technology in well-being, and practical ways to reconnect with joy in daily life.
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ANECDOTE

You Choose Which Wolf Wins

  • Dr. Judith Joseph reframes the two wolves parable as a lesson in personal agency.
  • She emphasizes you can choose to give away your joy or protect it.
INSIGHT

Hidden Performance, Hidden Pain

  • Judith Joseph names 'high-functioning depression' as persistent symptoms in people who keep performing.
  • She notes sufferers overwork to numb pain while losing joy (anhedonia).
INSIGHT

Anhedonia Can Be Depression

  • Judith Joseph highlights anhedonia as loss of joy many mistake for 'just life'.
  • She stresses depression can meet criteria without low mood if anhedonia is present.
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